Be a Part of Cleaning Chemicals Business | Application For Chemical Distributor

We hereby apply for Distributionship for the products of M/S. RX Marine International, RX Grup of Industries. We declare and confirm that the information provided in the following page(s) are true and correct to the best of our knowledge an believe. We agree to abide by the rules and regulations at the time of acceptance of this application by the Executieve Committee for distribution as imposed upon from time to time by the Board.

Name of Company: *

Address of Head Office: *

Telephone(s)

Office: *

After Office Hours:

Fax:

Answer Back:

E-mail:

Web site:

Name of Key Person: *

Sales Key person contact:

Addresses of Branch Office:

Name(s) of Proprietor(s) / Director(s): *

Form of Organization (Limited etc.):

(Please attach the extract of Registration of Companies)

Categories of Business performed:

Date of Incorporation:

Do you supply ships directly?.if yes:

(Please specify the mode)

In what categories of the Ship-stores trade/Shipping related trade do you operate?:

Would you provide us with a photograph of your office, warehouse and facilities owned?:

Yes

No

Are you a certified ship supplier in SINGAPORE:

Yes

No

If so, please provide a copy of Ship Supply license or Port License:

What is your annual volume of business in US$:

50,00000 to 10,000000

10,000000 to 50,000000

Above 50,000000

As a supplier in your own CITY, how would you rate your company?:

In the top 10

10-25

25-50

50-100

Other

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Tip of the day

Keep notes during tank cleaning operations and cleaning to a Wall Wash standard. To see improvements and have an accurate indicator on which way to proceed, always perform a Wall Wash and run analysis following each successive cleaning procedure..